Posted by loosmrbls on May 30, 2001, at 10:35:29
In reply to Re: Tired of chronic BP II misery » loosmrbls, posted by Mitch on May 30, 2001, at 1:58:54
Mitch, as I mentioned in an earlier post your course and response to drugs seems very similar to mine.
Two psychiatrists have told me I probably have ADHD, but I had horrible irritability to both Wellbutrin and high-dose Effexor XR -- both increase dopamine. So they both were very reluctant to start any ADD meds.
Right now, they think this is agitation/irritability related to the depression, now that the vegetation is starting to lift. They are giving me PRN Klonopin (.25mg every six hours as needed). It seems to help.
I have thought about ritalin/dexedrine, and may try it when not on AD's if things continue to decline.
Right now I am on Depakote 1500mg/day, Remeron 30mg/day (5-6 days, irritability was almost immediate), and now the Klonopin as needed every six hours.
My plan is to give the Remeron a fair shot (four weeks at least) with the Klonopin as-needed. If I am still irritable or depressed, I will ask for ECT. If they flat-out refuse, then I will refuse any medical therapies that do not include a mood stabilizer and an ADD med.
I feel better today. Guess the Klonopin is working on the agitation.
poster:loosmrbls
thread:64595
URL: http://www.dr-bob.org/babble/20010530/msgs/64732.html